HomeMy WebLinkAboutLuria Minor Home Occupation 2�l$--009H
Home Occupation Information and Application Form
Minor Approved Date yid'/'/'016S ASSESSOR'S USE ONLY
$25 fee
o Major Zoning Fe . $ a Y Home Occupation Type
$360 fee Munis Application# 0 b 00 SO Code
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Applicant Name: D �A-A V) /1')_
DBA: &✓vf�A/1 4 L i nn��y SZ
Address of Proposed Occupation: o�/ '� , �L L/ 6�i 0 /J /�,q If
Telephone: V(�O— Zone: A -3 b
Property Owners Name:
NOTE:In DRZ and MF zones only minor home occupations are allowed.Approval letter from homeowners association is required.
Description of Home Occupation:
/0 LA
Please use the boxes below or an attached sheet to provide the following:
1. Attach copy of plot plan if available
Bog A:PROPOSED SIGN
2. Use Box A(or attach sketch)to draw proposed signage
3. Use Box B(or attach sketch)to draw the floor plan of the Home Occupation area
4. Provide Architectural Elevations for any proposed additions or modifications — -
FLOOR PLAN (_Basement _ 1"floor _2nd floor)
1. Floor area of dwelling 6b t1 APR 19 2018
2. Floor area of home occupations
c3 SOUTH WINDSOR PLANNING DEFT,
3. %of floor area devoted to home occupation i 0
Bog B: FLOOR PLAN
I have read the regulations regarding home occupations and will comply with said regulations.I understand that I must notify
the Planning Department in writing upon termination of this occupation at this address.This permit is not transferable or
assignable to another person.In the ev t of relocation, permit holder must notify the Planning Department in writing to
transfer the permit to the new to
Signature of Applicant� PP Date
PRINT Name of Applicant K �em
Signature of Owners( & --- Date
PRINT Name of Owner 4�CO G�'i�/��J �r G� /!g Revised 9112117
PAYMENT SUMMARY RECEIPT
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
SOUTH WINDSOR CT 06074
DATE: 04/19/18 CUSTOMER#: 000000000
TIME: 15:48
CLERK: laurenlz
RECPT#: 20900873 PREV BAL:
TP/YR: MS/2018 AMT PAID: 25.00
BILL: ADJSTMNT:
EFF DT: 04/18/18 BAL DUE:
PERMITS/INSP PAYMENT
-----------------TOTALS-----------------
PRINCIPAL PAID: 25.00
INTEREST PAID: .00
ADJUSTMENTS: .00
DISC TAKEN: .00
AMT TENDERED: 25.00
AMT APPLIED: 25.00
CHANGE: .00
PAID BY: LURIA EDWARD M &
PAYMENT METH: CASH
PAYMENT REF: